Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIEANN MAHONY (REGISTERED NURSE)
(603) 216-2557
Entity
Organization
Contact information
Practice address
2 CABOT DR, DERRY, NH 03038-4228
(603) 216-2557
Mailing address
2 CABOT DR, DERRY, NH 03038-4228
(603) 216-2557
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
182934
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182934
NURSING LICENSE
MA
Enumeration date
06/25/2007
Last updated
08/22/2020
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